Organization
DIAKON LUTHERAN SOCIAL MINSITRIES
Active
Other names
Adult Day Services at Ravenwood Lutheran Village
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN R MCHUGH (DIRECTOR, RESIDENT FINANCIAL SERVIC)
(717) 795-0309
Entity
Organization
Contact information
Practice address
1109 LUTHER DR, HAGERSTOWN, MD 21740-7407
(301) 790-1000
Mailing address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 795-0309
(717) 795-0453
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
13179
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043833200
—
MD
Enumeration date
05/02/2006
Last updated
05/30/2008
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